Salter444

Salter444

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All Content by Salter444

  1. Charge nurse taking patients in ICU

    Every ICU I have ever worked the charge takes patients. Try to take the less acute patients but taken them they
  2. IS MICU/SICU too much for New Grad?

    I also old school and believe new grads benefit from some time in a med/surg or even step down unit. However, depending on the individual a new nurse can step in and be an excellent critical care...
  3. Why Critical Care?

    many critical care nurses are a bit of control freaks. We hover, titrate, monitor and track everything. It is somehow comforting tracking and controlling everything on 1-2 patients than just...
  4. Is there a place for non-confrontational nurses in ICU?

    The ED nurse should have done it, but bickering with her about this solves nothing. I would have informed the charge nurse of the situation and let him/her follow with the ED and I would have taken...
  5. New RN starting in ICU Question

    Do you not have a preceptor? These are the types of procedure you need to perform and demonstrate competence in while on orientation. Also, many of these procedures you can find on you
  6. No briefs?! Is this an ICU thing?

    Depends! If my patient is awake and incontinent then he/she can have a brief. If they are tubed/sedated/obtunded then no brief. I am in my rooms every hour and if there is poop I clean it
  7. ICU especially hard on back?

    Consider Neonatal ICU - how bad can that n=be on a back! I have worked both ICU and ED and I thought the various ICUs was harder on the back. Turning about every 2 hours, constantly cleaning, gotten...
  8. Surviving ICU/nursing... advice for novice?

    A new ICU nurse is expected to have questions and need help from time to time. I would hope your preceptor is around to ask question of and he/she should have identified the stronger nurses in the...
  9. Holding medications - When to call doctor?

    I agree with a comment above that stated it is a critical thinking process. These type of situations will be different among nurses with different levels of experience and the many different practice...
  10. Pain assessments - gabapentin?????

    Even though there are pain relieving implications for gabapentin I cannot see the rationale for checking pain an hour following a dose. It is not controlled and it is not like you will have a pen...
  11. What are the top 5 medications YOU administer daily?

    A PPI and anticoagulant should be top of everyone's list along with a stool softener...well for inpatient non psych
  12. Med error and disciplinary action

    I get the feeling there is more to this story that being shared here. The odds are that every nurse will be involved in a medication error - it is the human aspect of the job that makes us prone to...
  13. Over qualified??

    I can see where you are coming from, but when I was asked it felt as if she was probing as to what my real intentions were. I simply attempted to reassure her that I was more than happy to be a floor...